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Contact Information

PAIN MANAGEMENT NORTHWEST, INC
350 MILLER ST SE # 100
SALEM, OR97302
 Phone: 503-371-4647
 Fax: 503-584-7856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT NORTHWEST, INC

NPI # 1619178662
LBN Legal business name PAIN MANAGEMENT NORTHWEST, INC
Authorized official CRAIG ANDERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2007
Last updated 01/23/2019 - About 7 years ago
Identifiers
OR License # 088393-91
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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